Imaging in rectal cancer: magnetic resonance imaging versus endorectal ultrasonography

Over the past several decades there have been tremendous improvements in the outcomes of patients with rectal cancer. Imaging modalities such as endorectal ultrasonography (ERUS), magnetic resonance imaging (MRI), and computed tomography scanning play a pivotal role in evaluating rectal cancer preoperatively, planning surgical procedures, and selecting patients for neoadjuvant therapy. This article provides an overview of rectal anatomy and pelvic structures relevant to preoperative assessment and surgical treatment. The technical aspects, applications, and limitations of the imaging tools currently in use are examined, focusing on MRI and ERUS.